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25 J. Legal Ethical & Regul. Isses 1 (2022)
The Impact of Ambulatory Care Accreditation in Promoting Foreign Patients' Medical Displacement to Latin America: A Quasi-Experimental Approach

handle is hein.journals/jnlolletl25 and id is 1032 raw text is: 

Journal of Legal, Ethical and Regulatory Issues


            THE IMPACT OF AMBULATORY CARE
        ACCREDITATION IN PROMOTING FOREIGN
    PATIENTS' MEDICAL DISPLACEMENT TO LATIN
    AMERICA: A QUASI-EXPERIMENTAL APPROACH

                 Heidy  Rico  Fontalvo,  Simon  Bolivar  University
          Florentino  Antonio   Rico Calvano,   Simon  Bolivar  University
                    Mario  De  La  Puente, Northern   University
           Elkyn  Lugo  Arias, Minutes   of God  University  Corporation
                 Egna  Avendano Cardenas, Northern University

                                     ABSTRACT

       This study analyses whether clinics accredited by the Joint Commission International
Hospital Program in ambulatory medical care protocols located in Latin America achieve a
higher quality perception from foreign patients compared to others treated in non-accredited
ones. The following quality perception variables under study are essential to achieve such
accreditation: the length of an outpatient visit, follow-up attention, and a clear explanation of
the medical condition identified by doctors to patients. In 236 patients, a t-test with Welch
correction, chi-square test, Tau Kendall correlation coefficient, pre-test, post-test, supplemental
questionnaire, and two focus groups was applied. Patients treated in accredited clinics had a
greater perception of quality than those treated in non-accredited clinics. An unbalanced
application of the three variables was discovered to have a detrimental impact on quality
perception. The findings contribute to analyzing international health accreditations on the Latin
American outpatient medical offer.

Keywords:   Ambulatory  Care,  Medical  Displacement, Case  Study, Quasi-Experimental
            Approach, Latin America.

                                  INTRODUCTION

       The prompt access to medical procedures in various advanced nations has become an
issue since overcrowded public and private health systems have increased the waiting time for
medical care, including ambulatory procedures, limiting the coverage of medical insurance
policies, thus jeopardizing patients' health. Voluntary travel to other nations is becoming popular
to avoid long wait times. International medical displacement is a concept that indicates the
consumption of medical treatment and medications in foreign countries (Pacheco et al., 2020).
The two main reasons for international medical displacement are, on the one hand, individuals
who  seek equal attention in receiving medical procedures at lowered prices in developing
nations, and on the other hand, those who move to advanced countries in search of sophisticated
medical interventions not always accessible in their home country (Rico et al., 2022; Landazury
et al., 2022).
       According  to various  authors individuals included in the  international health

                                      1                               1544-0044-25-5-242
Citation Information: Fontalvo, H.R., Calvano, F.A.R., Puente, M.D.L., Arias, E.L., & Cardenas, E.A. (2022). The impact of
                ambulatory care accreditation in promoting foreign patients' medical displacement to Latin America: A quasi-
                experimental approach. Journal of Legal, Ethical and Regulatory Issues, 25(5), 1-16.


Volume 25, Issue 5, 2022

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